학술논문
Strategies to improve the implementation and effectiveness of community-based psychosocial support interventions for displaced, migrant and host community women in Latin America.
Document Type
Academic Journal
Author
Greene MC; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.; Wimer G; Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.; Larrea M; Hunter College, City University of New York, New York, NY, USA.; Mejia Jimenez I; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.; Armijos A; HIAS Ecuador, Quito, Ecuador.; Angulo A; HIAS Panamá, Panamá City, Panamá.; Guevara ME; HIAS Ecuador, Quito, Ecuador.; Vega C; HIAS Ecuador, Quito, Ecuador.; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Heard EW; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.; Demis L; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.; Benavides L; HIAS Ecuador, Quito, Ecuador.; Corrales C; HIAS Panamá, Panamá City, Panamá.; de la Cruz A; HIAS Ecuador, Quito, Ecuador.; Lopez MJ; HIAS Ecuador, Quito, Ecuador.; Moyano A; HIAS Ecuador, Quito, Ecuador.; Murcia A; HIAS Panamá, Panamá City, Panamá.; Noboa MJ; HIAS Ecuador, Quito, Ecuador.; Rodriguez A; HIAS Panamá, Panamá City, Panamá.; Solis J; HIAS Panamá, Panamá City, Panamá.; Vergara D; HIAS Ecuador, Quito, Ecuador.; Andersen LS; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Cristobal M; HIAS, Silver Spring, MD, USA.; Wainberg M; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons/New York State Psychiatric Institute, New York, NY, USA.; Bonz AG; HIAS, Silver Spring, MD, USA.; Tol W; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Athena Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Source
Publisher: Cambridge University Press Country of Publication: England NLM ID: 101659641 Publication Model: eCollection Cited Medium: Print ISSN: 2054-4251 (Print) Linking ISSN: 20544251 NLM ISO Abbreviation: Glob Ment Health (Camb) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2054-4251
Abstract
As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study's intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.
Competing Interests: The authors declare no competing interests.
(© The Author(s) 2024.)
Competing Interests: The authors declare no competing interests.
(© The Author(s) 2024.)